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General NPI Number Information
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NPI Number | 1982821997
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Entity Type | Organization
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Legal Business Name | ERNESTO B ARAVENA, MD.PC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1660 LINCOLN WAY
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City | WHITE OAK
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State | PA
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Zip | 15131
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Country | US
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Telephone | 412-672-1540
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Fax | 412-678-4047
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Provider Business Mailing Address
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Address Line | 1660 LINCOLN WAY
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City | WHITE OAK
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State | PA
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Zip | 15131
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Country | US
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Telephone | 412-672-1540
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Fax | 412-678-4047
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERNESTO B ARAVENA
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Credential | MD
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Telephone | 412-672-1540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD035338L
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License Number State | PA
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